Forensic psychiatric nursing: Skills and competencies: I role dimensions

Journal of Psychiatric and Mental Health Nursing (Impact Factor: 0.84). 02/2008; 15(2):118 - 130. DOI: 10.1111/j.1365-2850.2007.01191.x


This paper reports on an investigation into the skills and competencies of forensic psychiatric nurses from the perspective of three groups: (A) forensic psychiatric nurses; (B) non-forensic psychiatric nurses; and (C) other disciplines. A national survey of forensic psychiatric services in the UK was conducted, and information gathered on the perceived skills and competencies in this growing field of psychiatric practice. From 3360 questionnaires, 1172 were returned, making a response rate of 35%. The results indicate a small discrepancy between forensic nurses' and non-forensic nurses' perceptions of the role constructs of forensic practice. However, a larger difference was noted between nurses' perceptions and other disciplines' perceptions of the constituent parts to forensic psychiatric nursing. Nurses tended to focus on personal qualities both in relation to themselves and the patients, while the other disciplines focused on organizational structures both in defining the role and in the resolution of perceived deficits. The findings have implications for multidisciplinary working, as well as policy formulation and curriculum development in terms of the skills and competencies of forensic nurse training.

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    • "In contrast to a highly-evolved body of knowledge in mental health, the personal impact of everyday work on FMH clinicians is relatively unknown. Clinicians work in challenging environments, which require them to balance therapeutic approaches with ensuring safety of patients and staff (Mason et al. 2008). The purpose of this paper was to report on FMH clinicians' attitudes and experiences with respect to FP. "
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    ABSTRACT: Forensic mental health (FMH) clinicians sometimes feel unsupported and unprepared for their work. This article explores their experiences of working in a FMH setting in Australia. The research examined the clinical context of clinicians working with forensic patients (FP), particularly those individuals who have killed while experiencing a mental illness. A qualitative, exploratory design was selected. Data were collected through focus groups and individual interviews with hospital and community-based forensic clinicians from all professional groups: psychiatric medicine, social work, psychology, mental health nursing, occupational therapy, and psychiatric service officers. The main themes identified were orientation and adjustment to FMH, training in FMH, vicarious traumatization, clinical debriefing and clinical supervision, and therapeutic relationships. Participants described being frustrated and unsupported in making the transition to working with FP and felt conflicted by the emotional response that was generated when developing therapeutic relationships. Recommendations include the development of programmes that might assist clinicians and address gaps in service delivery, such as clinical governance, targeted orientation programmes, and clinical supervision.
    International journal of mental health nursing 04/2015; 24(2). DOI:10.1111/inm.12113 · 1.95 Impact Factor
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    • "The most directly related studies are those of Mason and Phipps (2010, 2011) who used a similar design to a previous study on the forensic mental health nurse (Mason et al., 2008). This study examined the role of nurses within forensic learning disability settings. "
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    ABSTRACT: Purpose – The purpose of this paper is to explore the lived experiences of learning disability nurses working within forensic services, and their views on their practice as a speciality. Design/methodology/approach – A qualitative, semi-structured interview-based design was used and participant’s voices were examined through interpretive phenomenological analysis. Findings – Nurses explored a range of topics related to their practice and overall, five superordinate themes were developed. Forensic nursing as being both the same and different to generic nursing, the journey, and the emotional challenge of forensic nursing, the balancing act of everyday practice and the role of language within forensic nursing practice. Originality/value – Very little research has examined the views of learning disability nurses within the forensic field. This study gives both a voice to these nurses and suggests areas of interest both for research and for clinicians to consider in their practice.
    Journal of Intellectual Disabilities and Offending Behaviour 12/2014; 5(4):167-177. DOI:10.1108/JIDOB-11-2014-0017
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    • "Nurses working in forensic settings run a high risk of being confronted with inpatient violence. Such violence can substantially undermine staff members' feelings of safety (Jansen et al. 2005, Mason et al. 2008a, Whittington 2002) and has a significant impact on nurses and patients (Bowers et al. 2006). The causes of inpatient violence have been explained in multifactor models using patient, staff and environmental factors (Fluttert et al. 2008, Kettles 2004, Nijman et al. 1999). "
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    ABSTRACT: "Early warning signs of aggression" refers to recurring changes in behaviors, thoughts, perceptions, and feelings of the patient that are considered to be precursors of aggressive behavior. The early recognition of these signs offers possibilities for early intervention and prevention of aggressive behaviors in forensic patients. The Forensic Early warning Signs of Aggression Inventory (FESAI) was developed to assist nurses and patients in identifying and monitoring these early warning signs of aggression. The FESAI was developed by means of qualitative and quantitative strategies. One hundred seventy six early detection plans were studied to construct a list of early warning signs of aggression. Inventory drafting was done by merging and categorizing early warning signs. Forensic nursing professionals assessed face validity, and interrater agreement was tested. The investigation of early detection plans resulted in the FESAI, which contains 44 early warning signs of aggression subdivided into 15 main categories. The face validity of the form was very good, and the interrater agreement was satisfactory. Preliminary findings indicate that the FESAI provides a useful listing of early warning signs of aggression in forensic patients. It may facilitate the construction of early detection plans for the prevention of aggressive behaviors in forensic psychiatry.
    Archives of psychiatric nursing 04/2011; 25(2):129-37. DOI:10.1016/j.apnu.2010.07.001 · 0.85 Impact Factor
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